Individual provider Active NPI

Marvin Joseph, RRT

  • Pulmonary Rehabilitation Certified Respiratory Therapist
  • Patchogue, NY
National Provider Identifier
1699375774
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Rehabilitation Certified Respiratory TherapistTaxonomy code 2278P1005X
License
008111 Issued in NY
Practice address
25 Schoenfeld Blvd
Patchogue, NY 11772-2982
Phone
(631) 289-7700
NPI assigned
Oct 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
General Care Certified Respiratory Therapist 2278G1100X 008111 NY
Home Health Certified Respiratory Therapist 2278H0200X 008111 NY
General Care Registered Respiratory Therapist 2279G1100X 008111 NY
Educational Registered Respiratory Therapist 2279E1000X 008111 NY
Geriatric Care Registered Respiratory Therapist 2279G0305X 008111 NY
Pulmonary Rehabilitation Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2279P1005X 008111 NY
SNF/Subacute Care Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2279S1500X 008111 NY
Pulmonary Rehabilitation Certified Respiratory Therapist 2278P1005X 008111 NY Primary
Home Health Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2279H0200X 008111 NY

Addresses

Primary practice location

25 Schoenfeld Blvd
Patchogue, NY 11772-2982

Mailing address

14736 225TH St
Springfield Gardens, NY 11413-4101
Phone (646) 773-3691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1699375774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14736 225TH ST",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114134101",
            "telephone_number": "646-773-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SCHOENFELD BLVD",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722982",
            "telephone_number": "631-289-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "MARVIN",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, General Care",
            "state": "NY",
            "license": "008111",
            "primary": false
        },
        {
            "code": "2278H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": "NY",
            "license": "008111",
            "primary": false
        },
        {
            "code": "2279G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": "NY",
            "license": "008111",
            "primary": false
        },
        {
            "code": "2279E1000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Educational",
            "state": "NY",
            "license": "008111",
            "primary": false
        },
        {
            "code": "2279G0305X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Geriatric Care",
            "state": "NY",
            "license": "008111",
            "primary": false
        },
        {
            "code": "2279P1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": "NY",
            "license": "008111",
            "primary": false
        },
        {
            "code": "2279S1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, SNF/Subacute Care",
            "state": "NY",
            "license": "008111",
            "primary": false
        },
        {
            "code": "2278P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
            "state": "NY",
            "license": "008111",
            "primary": true
        },
        {
            "code": "2279H0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, Home Health",
            "state": "NY",
            "license": "008111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.